| Connections In Counseling, Inc | |
|
12 Harding St Ste 206 Lakeville MA 02347-1232 | |
| (774) 855-6974 | |
| (774) 855-9994 |
| Full Name | Connections In Counseling, Inc |
|---|---|
| Speciality | Social Worker |
| Location | 12 Harding St Ste 206, Lakeville, Massachusetts |
| Authorized Official Name and Position | Lucita Clondas (DIRECTOR) |
| Authorized Official Contact | 7748556974 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Connections In Counseling, Inc 86 High St Assonet MA 02702-1707 Ph: (508) 801-7959 | Connections In Counseling, Inc 12 Harding St Ste 206 Lakeville MA 02347-1232 Ph: (774) 855-6974 |
| NPI Number | 1114509114 |
|---|---|
| Provider Enumeration Date | 04/28/2021 |
| Last Update Date | 04/28/2021 |
| Certification Date | 04/28/2021 |
| Medicare PECOS PAC ID | 6103225842 |
|---|---|
| Medicare Enrollment ID | O20210528001139 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114509114 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 101YM0800X | Counselor - Mental Health | (* (Not Available)) | Secondary |
| 1041C0700X | Social Worker - Clinical | (* (Not Available)) | Primary |
| Provider Name | Lucita C Clondas |
|---|---|
| Provider Type | Practitioner - Clinical Social Worker |
| Provider Identifiers | NPI Number: 1396016788 PECOS PAC ID: 3274785522 Enrollment ID: I20121212000426 |
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